| Spread Your Wings Llc | |
|
150 N Jackson Ave Ste 10 San Jose CA 95116-1908 | |
| () - | |
| Not Available |
| Full Name | Spread Your Wings Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 150 N Jackson Ave Ste 10, San Jose, California |
| Authorized Official Name and Position | Andrew Serry Dumbuya (CEO) |
| Authorized Official Contact | 4084012984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spread Your Wings Llc 96 W 2nd St Morgan Hill CA 95037-4504 Ph: () - | Spread Your Wings Llc 150 N Jackson Ave Ste 10 San Jose CA 95116-1908 Ph: () - |
| NPI Number | 1376020313 |
|---|---|
| Provider Enumeration Date | 07/23/2018 |
| Last Update Date | 07/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376020313 | NPI | - | NPPES |
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